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1477310084
SAMANTHA ANN BASHAM
LOUISVILLE, KY
NPI
1477310084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-24-321393)
Enumeration Date
2024-02-29
Last Update Date
2024-02-29
Business Address
SAMANTHA ANN BASHAM RBT
175 MARKET PLACE DR STE A
LOUISVILLE, KY 40229-4471
Phone number: 502-251-7002
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Mailing Address
SAMANTHA ANN BASHAM RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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